Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD60147167 | WA |
N | 207X00000X | Orthopaedic Surgeon | TRN7958 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD60147167 | WA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | MD60147167 | WA |
NPI | 1043371909 |
---|---|
Provider Name | Ryan Riel |
First Address | Puyallup, WA 98374-8847 |
Second Address | Puyallup, WA 98374-8847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 23/02/2012 |